Welcome to the Colorado and Wyoming Newborn Screening Hospital Survey
|
|
|
- Homer Barton
- 7 years ago
- Views:
Transcription
1 Welcome to the Colorado and Wyoming Newborn Screening Hospital Survey Thank you for participating in our brief newborn screening survey. The goal of this survey is to help our newborn screening programs in Colorado and Wyoming better understand the hospitals' newborn screening processes so that together we can improve the timeliness of newborn screening. Newborn screening began 0 years ago with screening babies for PKU in order to diagnose and treat PKU early, avoiding significant cognitive impairment in affected children. Over the years, the "PKU test" has evolved to include multiple disorders, thereby changing the name to the "newborn screen." Currently, both Colorado Department of Public Health and Environment (CDPHE) and Wyoming Department of Health (WDH) mandate that babies are screened for over 30 disorders. In February, new federal guidelines were approved that now recommend that newborn screening blood spots are collected no later than 48 hours and the blood spots are received by the newborn screening lab within 24 hours of collection. In order for both Colorado and Wyoming to meet these new federal guidelines, we will be working with all birth facilities across our states to improve the newborn screening process from collection of the blood spots to completion and reporting of results. Your feedback is very important to us. Together, we can ensure that the babies of Colorado and Wyoming are healthy and safe. Thank you for your time. 1. What is the hospital that you represent/work for? 2. What is your job role? Laboratory Manager/Director Nurse Manager Nursery Director Hospital Administrator 3. Who is responsible for collecting newborn screening blood spots at your hospital? Nursery/NICU nurses Lab staff Both nurses and lab staff
2 4. Who is responsible for filling out the information on the newborn screening blood spot card? Nursery/NICU nurses Lab staff Both nurses and lab staff Administrative staff. On average, how long do the following newborn screening blood spot processes take at your facility? <1 hr 1 4 hours 4 8 hrs 8 12 hrs hrs 24 hours hours >48 hours Drying duration from collection to packaging Packaging to courier pickup or other method of transport. Does your hospital utilize a reference lab (such as Quest Diagnostics or LabCorp) for collecting, handling, or processing of newborn screening blood spots? If yes, please explain the role of the reference lab in your newborn screening process. 7. Does your hospital's outpatient laboratory routinely collect second newborn screening blood spots (following discharge)? If no, where are patients referred for collection of second newborn screening blood spots (PCP's office, reference lab, other)?
3 8. What is your hospital's delivery mode of newborn screening blood spots to the CDPHE newborn screening lab (check all that apply)? CDPHE courier (Kangaroo) or WDH courier (Medical Logistics) Hospital courier Fed Ex overnight US mail 9. If utilizing another delivery mode other than CDPHE or WDH courier, please specify why (check all that apply). Did not know CDPHE/WDH courier was available Alternative mode of delivery is faster Alternative mode of delivery is adequate Alterantive mode of delivery is easier 10. If Saturday or Sunday courier pick up were available free of charge, what challenges would your hospital face in utilizing it? anticipated challenges, weekend courier pick ups would be challenging due to (please comment): 11. Optimally, CDPHE and WDH Newborn Screening Programs recommend newborn screening blood spots be received within 24 hours of collection at the Newborn Screening Laboratory. Do you have tools and resources to meet this goal?
4 12. What additional tools and resources are needed to reach the goal that newborn screening blood spots are received within 24 hours of collection at the Newborn Screening Laboratory? Training Best practice reference guide Alternative courier service 13. Identify potential barriers that limit your hospital from reaching the goal that newborn screening blood spots are received within 24 hours of collection. barriers identified Barriers include (please comment): 14. CDPHE and WDH Newborn Screening Programs issue quarterly reports to each hospital to report the hospital's performance regarding unsatisfactory specimens, missing demographics, timing of collection, and transit time. Do you or your hospital staff use these quarterly reports for quality improvement?, the report is shared with lab and/or nursing staff., I am aware of the report but I've never used it for quality improvement., but the data is difficult to interpret., I did not know quarterly performance reports were provided. Comments:
5 1. CDPHE recently provided educational newborn screening posters and DVDs to all Colorado birthing hospitals. Is your hospital currently using these educational tools?, the newborn screening posters and DVD are used by our hospital., my hospital received the newborn screening posters and DVD but is not currently utlizing them., I am not aware of newborn screening posters or DVD provided by CDPHE., I work at a Wyoming hospital but our hospital is interested in receiving posters and DVD., I work at a Wyoming hospital and our hospital is not interested in receiving posters and DVD. Comments: 1. Please provide contact information for further correspondence with CDPHE and WDH Newborn Screening Programs: Name Hospital Mailing Address Mailing Address 2 City / Town State / Province ZIP / Postal Code Phone Fax 17. What is your preferred method to receive written communication regarding changes and updates from the CDPHE and WDH Newborn Screening Programs? Fax Mail 18. Please provide any additional comments regarding newborn screening:
Eva N. Santos Communication Award Nomination. Get Healthy Program. Pennsylvania Employees Benefit Trust Fund. Commonwealth of Pennsylvania
Eva N. Santos Communication Award Nomination Get Healthy Program Pennsylvania Employees Benefit Trust Fund Commonwealth of Pennsylvania Contact: Kim Helton, Director of Workforce Planning, Development
Colorado s Integrated Data System: one state s approach to a comprehensive health information exchange for short-term and long-term follow-up
Colorado s Integrated Data System: one state s approach to a comprehensive health information exchange for short-term and long-term follow-up Erica L. Wright, MS, CGC Certified Genetic Counselor, Instructor
Welcome to Crozer-Keystone Health Network Primary Care
Welcome to Crozer-Keystone Health Network Primary Care A Guide to Your CKHN Patient-Centered Medical Home: What you can expect from us... What we will need from you......so you can gain the full benefits
Texas Newborn Screening Performance Measures Project
Texas Newborn Screening Performance Measures Project Susan Tanksley, PhD MSGRCC Annual Meeting July 14, 2011 The Texas Newborn Screening Performance Measure Project (TNSPMP) is funded through a cooperative
Newborn Blood Banking, Inc. P.O. Box 270067 Tampa, Florida 33688 Phone (813) 948-2673
Please complete the following forms and send them back to us along with the registration fee to register. Once we receive your registration forms and payment, we will send you the collection kit. Mother
Appendix 6.2 Data Source Described in Detail Hospital Data Sets
Appendix 6.2 Data Source Described in Detail Hospital Data Sets Appendix 6.2 Data Source Described in Detail Hospital Data Sets Source or Site Hospital discharge data set Hospital admissions reporting
Healthy Michigan MEMBER HANDBOOK
Healthy Michigan MEMBER HANDBOOK 2014 The new name for Healthy 1 TABLE OF CONTENTS WELCOME TO HARBOR HEALTH PLAN.... 2 Who Is Harbor Health Plan?...3 How Do I Reach Member Services?...3 Is There A Website?....
National Survey of Pre- and Post- Analytical Performance Measures Used in Newborn Screening Programs
National Survey of Pre- and Post- Analytical Performance Measures Used in Newborn Screening Programs Simran Tiwana, MBA* Susan Tanksley, PhD* Brad Therrell, PhD Donna Williams, BS* Mirsa Douglass, MBA*
Newborn Screening and Health Information Technology
Newborn Screening and Health Information Technology Alan E Zuckerman MD FAAP Georgetown University Medical Center SACHDNC HIT Workgroup Co-Chair AAP Council on Clinical Information Technology (COCIT) Executive
APPLICATION OF GEOGRAPHIC INFORMATION SYSTEM IN TSH NEONATAL SCREENING FOR MONITORING OF IODINE DEFICIENCY AREAS IN THAILAND
SOUTHEAST ASIAN J TROP MED PUBLIC HEALTH APPLICATION OF GEOGRAPHIC INFORMATION SYSTEM IN TSH NEONATAL SCREENING FOR MONITORING OF IODINE DEFICIENCY AREAS IN THAILAND Wiyada Charoensiriwatana 1, Pongsant
Healthy Michigan MEMBER HANDBOOK
Healthy Michigan MEMBER HANDBOOK 2015 The new name for Healthy 1 TABLE OF CONTENTS WELCOME TO HARBOR HEALTH PLAN.... 2 Who Is Harbor Health Plan?... 3 How Do I Reach Member Services?... 3 Is There A Website?....
Your newborn baby s blood test
Newborn Screening Free health checks for your baby Your newborn baby s blood test The Newborn Metabolic Screening Programme All babies are checked at birth to see that all is well. Some of your baby s
Important Questions Answers Why this Matters: $1,500 Individual/$3,000
Anthem Blue Cross Life and Health Insurance Company Unify: Consumer Choice HSA Coverage Period: 01/01/2015 12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for:
AUBURN MEMORIAL MEDICAL SERVICES, P.C.
AUBURN MEMORIAL MEDICAL SERVICES, P.C. Office Policies We would like to thank you for choosing as your medical provider. We have written this policy to keep you informed of our current office policies.
Become an Inova Fairfax Hospital Volunteer
Become an Inova Fairfax Hospital Volunteer Make a Difference! Want to meet new people? Are you setting an example of service for your children? Want a closer look at healthcare before choosing a career?
Western Health Advantage: Gateway 5500B HSA Coverage Period: 12/1/2015-11/30/2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.westernhealth.com or by calling 1-888-563-2250. Important
Chapter 13: Transition and Interagency Agreements
Healthy Start Standards & Guidelines 2007 Chapter 13: Transition and Interagency Agreements Introduction Transition is movement or change from one environment to another. Transition activities are a critical
Personal Blue PPO QHDHP $5,000/$10,000
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at capbluecross.com or by calling 1-800-962-2242. Important
Identification of Patient, Resident or Client Using Two Identifiers
Approved by: Vice President & Chief Medical Officer; and Vice President & Chief Operating Officer Identification of Patient, Resident or Client Using Two Corporate Policy & Procedures Manual Date Approved
Important Questions Answers Why this Matters:
Anthem Blue Cross Life and Health Insurance Company Unify: PPO Coverage Period: 01/01/2015 12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family
Medical Record - Infant Screening
A Second-Tier Screening Approach for CAH: Oklahoma s Experience Kathy Kirk, RN, MSN Theresa Steckel, BSN, RN Pam King, MPA, RN Debbie Kline, BS Edd Rhoades, MD, MPH Kenneth Copeland, MD U.S. Newborn Screening
Newborn Scenario. Consolidated Instructor Manual. Frances Wickham Lee, DBA Heidi H. Schmoll, RN, MSN-Ed. Content Author: Sheila Smith RN, PhD
Newborn Scenario Consolidated Instructor Manual Frances Wickham Lee, DBA Heidi H. Schmoll, RN, MSN-Ed. Content Author: Sheila Smith RN, PhD 1/23/13 Table of Contents Curricular Information 3 Faculty Information
Alternate PPO/Alternate Rx
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at capbluecross.com or by calling 1-866-802-4761. Important
Neighborhood Health Partnership
Neighborhood Health Partnership Answers to Frequently Asked Questions Q. Whom do I call for assistance or if I need information in another language? A. Call Customer Service at the phone number on your
Broker Brochure. A different kind of health insurance. For individuals, families and small businesses.
Broker Brochure A different kind of health insurance. For individuals, families and small businesses. We were built for you. CHM_SMM01_0914 A different kind of partner for the new world of health insurance.
BCSC Health Center Information
BCSC Health Center Information Welcome Packet BCSC Health Center 1950 Doctors Park Drive Suite C Columbus, IN 47203 Phone: 812.375.8810 Fax: 812.375.8879 Website: www.bcsc.k12.in.us/bcschealthcenter Frequently
children who are in a system of care for hearing loss as early as possible, the Mississippi
PROJECT NARRATIVE BACKGROUND AND NEED Screening, diagnosing, and early intervention for hearing loss as early as possible is crucial to a child s development. The first year of life is a critical period
NEONATAL CLINICAL PRACTICE GUIDELINE
NEONATAL CLINICAL PRACTICE GUIDELINE Title: Routine Screening of Neonates Approval Date: January 2015 Approved by: Neonatal Patient Care Teams, HSC & SBH Child Health Standards Committee Pages: 1 of 6
HMO Blue New England Enhanced Value Coverage Period: on or after 01/01/2015
HMO Blue New England Enhanced Value Coverage Period: on or after 01/01/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and Family Plan Type: HMO This
Excellus BCBS:Healthy Blue Copay
Excellus BCBS:Healthy Blue Copay A nonprofit independent licensee of the Blue Cross Blue Shield Association Summary of Benefits and Coverage: What this Plan Covers & What it Costs MONROE COUNTY Coverage
Important Questions Answers Why this Matters: Referred providers $0 person/ $0 family; self-referred providers $2,500 person/ $5,000 family
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.thehealthplan.com or by calling 1-800-447-4000. Important
WELCOME TO OUR URGENT CARE CENTRE (UCC) What to expect during your visit
WELCOME TO OUR URGENT CARE CENTRE (UCC) What to expect during your visit Introduction to our Patients On behalf of our doctors and nurses here at the Kilmore and District Hospital Urgent Care Centre (UCC),
State Health Plan: High Deductible Health Plan 50/50 Coverage Period: 01/01/2016 12/31/2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at http://www.shpnc.org and click on High Deductible Health
Section IX Special Needs & Case Management
Section IX Special Needs & Case Management Special Needs and Case Management 179 Integrated Care Management/Complex Case Management The Case Management/Care Coordination (CM/CC) program is a population-based
Excellus BCBS:Excellus BluePPO
Excellus BCBS:Excellus BluePPO A nonprofit independent licensee of the Blue Cross Blue Shield Association Summary of Benefits and Coverage: What this Plan Covers & What it Costs COLGATE UNIVERSITY Coverage
Important Questions Answers Why this Matters: What is the overall deductible? Are there other deductibles for specific services?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthnet.com/cvscaremark or by calling 1-888-893-1598
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.thehealthplan.com or by calling 1-800-447-4000. Important
Maternal and Neonatal Health in Bangladesh
Maternal and Neonatal Health in Bangladesh KEY STATISTICS Basic data Maternal mortality ratio (deaths per 100,000 births) 320* Neonatal mortality rate (deaths per 1,000 births) 37 Births for women aged
Important Questions Answers Why this Matters: $3,000/ person $6,000/family Benefits not subject to deductible include: preventive care.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document by calling 1-888-990-5702. Important Questions Answers Why this
Exhibit A Scope of Work. Vendor agrees to provide to the California Department of Public Health (CDPH) the services described herein.
1. Service Overview Vendor agrees to provide to the (CDPH) the services described herein. The Vendor shall provide diagnosis, treatment, and outcome data for metabolic patients identified through the Newborn
What is the overall deductible? Are there other deductibles for specific services?
Small Group Agility MS200 Coverage Period: Beginning on or after 01/01/2015 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or
2. The prescribing clinician will register with the designated manufacturer.
Clozapine Management Program Description Magellan of Arizona Pharmacy Program Background: Magellan Health Services of Arizona recognizes the importance of a clozapine program. Clozapine received increased
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-877-453-5645. Important Questions
Workflow Redesign Templates
Workflow Redesign Templates Provided By: The National Learning Consortium (NLC) Developed By: Health Information Technology Research Center (HITRC) Practice and Workflow Redesign Community of Practice
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document by calling 1-888-990-5702. Important Questions Answers Why this
Patient Demographic Form
Patient Demographic Form New Patient Returning Patient Primary Care Physician (PCP) Name: Patient Name: Last Name First Name MI Address: P.O. Box City: State: Zip: Cellular Number: Home Number: Work Number:
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document by calling 1-888-990-5702. Important Questions Answers Why this
Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: All Contract Types Plan Type: HMO
CLSSSM BCN Classic HMO Gold $1500 Coverage Period: 1/1/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: All Contract Types Plan Type: HMO This is only
Heartland Genetics and NBS Collaborative
Heartland Genetics and NBS Collaborative Annual Evaluation Results September 2011 Goal Facilitate access to quality clinical genetic services Strategy Lab Performance Project (Region 4) IBEM-IS Project
Personal Alliance 3000 Silver OFF
Personal Alliance 3000 Silver OFF Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2016-12/31/2016 Coverage for: Individual / Family Plan Type: HMO This is
TotalFreedom 20/80 Platinum Plan: Health Republic Insurance of New York Coverage Period: 4/1/15 12/31/15 Summary of Benefits and Coverage:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document by calling 1-888-990-5702. Important Questions Answers Why this
In addition, you qualify for affordable, members-only rates with FlightCare... coverage starts at 23 cents a day. And there's no risk today. Simply co
imfmoore_afsa-05tr-tricarereserveselect Office of the Administrator P.O. Box 14464 Des Moines, IA 50306 Here's the NEW FlightCare TRICARE Reserve Select Supplement Insurance Plan information you requested.
The Regional Municipality of Halton. Chair and Members of the Health and Social Services Committee
The Regional Municipality of Halton Report To: From: Chair and Members of the Health and Social Services Committee Bob Nosal, Commissioner and Medical Officer of Health Date: October 15, 2013 Report No.
ANNOUNCEMENT. On-site Medical Clinics will be under new management. Effective. September 1, 2011
ANNOUNCEMENT On-site Medical Clinics will be under new management Effective September 1, 2011 Why will we see a change at the clinics? The on-site medical clinics recently went through a formal Request
Physician Practice Connections Patient Centered Medical Home
Physician Practice Connections Patient Centered Medical Home Getting Started Any practice assessing its ability to achieve NCQA Physician Recognition in PPC- PCMH is taking a bold step toward aligning
OFFICE OF ST. JOSEPH COUNTY FRIEND OF THE COURT PARENTING (VISITATION) POLICY ( May, 2010)
OFFICE OF ST. JOSEPH COUNTY FRIEND OF THE COURT PARENTING (VISITATION) POLICY ( May, 2010) It is strongly recommended that parents develop their own arrangements which will take into consideration the
Primary Select Platinum Plan: Health Republic Insurance of New York Coverage Period: 01/01/2015 12/31/2015
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document by calling 1-888-990-5702. Important Questions Answers Why this
$500 member / $1,000 family Self- Referred. Does not apply to emergency room, emergency transportation, or acupuncture services.
Blue Choice New England Plan 2 MIT Choice Coverage Period: on or after 01/01/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual, Ind.+Spouse, Ind.+Child(ren)
Important Questions Answers Why this Matters:
Anthem BlueCross Premier HMO 20 / $10/$25/$45/20% Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2014-12/31/2014 Coverage For: Individual/Family Plan Type:
TOTAL PROCESS MANAGEMENT FOR YOUR NEWBORN SCREENING LABORATORY. Specimen Gate software
TOTAL PROCESS MANAGEMENT FOR YOUR NEWBORN SCREENING LABORATORY Specimen Gate software MANAGE YOUR ENTIRE SCREENING PROCESS Newborn screening generates vast amounts of data that require continuous tracking.
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthfirstny.org or by calling 1-888-250-2220. Important
$0 See the chart starting on page 2 for your costs for services this plan covers.
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthfirstny.org or by calling 1-888-250-2220. Important
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthnow.org or by calling 1-855-344-3425. Important
Informational Series. Community TM. Glossary of Health Insurance & Medical Terminology. (855) 624-6463 HealthOptions.
Informational Series Glossary of Health Insurance & Medical Terminology How to use this glossary This glossary has many commonly used terms, but isn t a full list. These glossary terms and definitions
How Are We Doing? A Hospital Self Assessment Survey on Patient Transitions and Family Caregivers
How Are We Doing? A Hospital Self Assessment Survey on Patient Transitions and Family Caregivers Well-planned and managed transitions are essential for high quality care and patient safety. Transitions
Newborn Blood Spot Standards for newborn blood spot screening
Newborn Blood Spot Standards for newborn blood spot screening Version 1.0 / August 2013 About the NHS Newborn Blood Spot Screening Programme The NHS Newborn Blood Spot Screening Programme has responsibility
Personal Alliance 4500 Bronze ON
Personal Alliance 4500 Bronze ON Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2016-12/31/2016 Coverage for: Individual / Family Plan Type: HMO This is
Important Questions. Why this Matters:
Old National Bancorp: Blue Access (PPO) - 850 Coverage Period: 01/01/2016-12/31/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family Plan Type: PPO
Primary Care Specialist Physician Collaborative Guidelines
Primary Care Specialist Physician Collaborative Guidelines I. Purpose To provide optimal health care for our patients. To provide a framework for better communication and safe transition of care between
Monitoring a Global Supply Chain for Pharmaceutical Clinical Trials. Jerry Hennessy Senior Director of Customer Facing Systems, DHL Express
Monitoring a Global Supply Chain for Pharmaceutical Clinical Trials Jerry Hennessy Senior Director of Customer Facing Systems, DHL Express Express Logistics Platform Pickup, Track Capabilities Enterprise
NCQA PCMH 2011 Standards, Elements and Factors Documentation Guideline/Data Sources
NCQA PCMH 2011 Standards, Elements and Factors Documentation Guideline/Data Sources Key: DP = Documented Process N/D = Report numerator and denominator creating percent of use RPT = Report of data or information
Patient Experience Data and Patient Reported Outcome Measures in Canada
Patient Experience Data and Patient Reported Outcome Measures in Canada Current state and future plans OECD HCQI Expert Meeting 7-8 th of November, 2013 Jeanie Lacroix Canadian Institute for Health Information
Expanding Behavioral Health Data Collection: Serious Emotional Disturbance (SED) in Children
Expanding Behavioral Health Data Collection: Serious Emotional Disturbance (SED) in Children Center for Behavioral Health Statistics and Quality Substance Abuse and Mental Health Services Administration
ICD-10-CM: Behavioral Health Providers
ICD-10-CM: Behavioral Health Providers DSM-5 Path to Success July and August 2015 ICD-10-CM: Behavioral Health Focus DSM-5* Supports the Behavioral Health Transition to ICD-10 Claim Submission Dates of
Blue Cross of NEPA: Custom PPO Option 10014 Coverage Period: 03/01/2015-02/29/2016
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.bcnepa.com or by calling 1-888-345-2346. Important Questions
Important Questions Answers Why this Matters:
Anthem BlueCross BlueShield Blue Access PPO Option D58 / Rx Option 8 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 12/01/2013-11/30/2014 Coverage For: Individual/Family
You can see the specialist you choose without permission from this plan.
Summary of Benefits & Coverage All private health plans must use this standard form. The information is laid out the same for every plan, making it easier for you to compare. Worst-case scenario. Add together
Psychiatric Residential Treatment Facility (PRTF) Prior Authorization Request
Psychiatric Residential Treatment Facility (PRTF) Prior Authorization Request Please submit this application and all supporting documentation to: Magellan Behavioral Health ATTN: Residential Psychiatric
APWU Health Plan: _High Option_ Coverage Period: 01/01/2016-12/31/2016 Coverage for: Self Only, Self Plus One or Self and Family Plan Type: FFS
This is only a summary. Please read the FEHB Plan brochure (RI 71-004) that contains the complete terms of this plan. All benefits are subject to the definitions, limitations, and exclusions set forth
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE CENTRE FOR CLINICAL PRACTICE QUALITY STANDARDS PROGRAMME standard topic: Specialist neonatal care Output: standard advice to the Secretary of State
BOARD OF COUNTY COMMISSIONERS Sublette County, Wyoming P.O. Box 250 PINEDALE, WY 82941 www.sublettewyo.com
BOARD OF COUNTY COMMISSIONERS Sublette County, Wyoming P.O. Box 250 PINEDALE, WY 82941 www.sublettewyo.com March 30, 2016 Dear Questionnaire Participant, Welcome to the online Sublette County health care
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.alaskacare.gov or by calling 1-800-821-2251. Important
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com/ca or by calling 1-866-403-6183. Important
The Healthy Michigan Plan Handbook
The Healthy Michigan Plan Handbook Introduction The Healthy Michigan Plan is a health care program through the Michigan Department of Community Health (MDCH). Eligibility for this program will be determined
Important Questions Answers Why this Matters: What is the overall deductible?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at austintexas.gov/benefits or by calling 512-974-3284. Important
Important Questions Answers Why this Matters: What is the overall deductible? Are there other deductibles for specific services?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.etf.wi.gov or by calling 1-877-533-5020. Important Questions
Primary Care Specialist Physician Collaborative Guidelines
Primary Care Specialist Physician Collaborative Guidelines I. Purpose To provide optimal health care for our patients. To provide a framework for better communication and safe transition of care between
TELEHEALTH CLINICAL GUIDELINES
TELEHEALTH CLINICAL GUIDELINES Table of Contents Table of Contents... 1 1. Introduction... 2 1.1. Purpose... 2 1.1. Background... 2 2. Definitions... 4 3. Guidelines... 5 3.1. Telehealth and Clinical Practice...
You can see the specialist you choose without permission from this plan.
1/1/2015-12/31/2015 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.paramountinsurance company.com or
Haverford College: BCS Insurance Company Coverage Period: 8/16/2014-8/16/2015 Summary of Benefits and Coverage:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.cirstudenthealth.com/haverford or by calling 1-800-322-9901.
Policy Limitations This policy applies to all places of service in accordance with the National POS code set.
Original Effective Date: January 1, 2013 Revision Date: August 1, 2013 PROFESSIONAL EVALUATION AND MANAGEMENT SERVICES Policy NHP reimburses participating providers for the provision of medically necessary
Normal Pregnancy and Pain Management Case Study
Normal Pregnancy and Pain Management Case Study Time: 1845 Heather Morris, RN, has just arrived to work her evening shift in Labor & Delivery. This is her 5th year as an RN in the unit. While waiting for
In-network Provider. 25% Coinsurance. after deductible after deductible. after deductible. after deductible. after deductible
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at:m www.mykyhc.org or by calling: 1-855-OUR-KYHC. Important
Simple. 2015 Benefit Guide. Personal. Empowering.
2015 Benefit Guide Simple. Personal. Empowering. An easy-to-use guide to understanding your UnitedHealthcare benefits offered by the Cook County Pension Fund. Open Enrollment is November 1 - November 30
What is the overall deductible? Are there other deductibles for specific services? Is there an out-of-pocket limit on my expenses?
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at capbluecross.com or by calling 1-800-730-7219. Important
Austen Riggs Center Patient Demographics
Number of Patients Austen Riggs Center Patient Demographics Patient Gender Patient Age at Admission 80 75 70 66 Male 37% 60 50 56 58 48 41 40 Female 63% 30 20 10 18 to 20 21 to 24 25 to 30 31 to 40 41
1. How long have you been a therapist for our local community?
Barren River Community Health Planning Council C-List Drug Abuse & Addiction Interview Questions For Providers of Drug Abuse/Addiction Treatment Services Interviewer Date Person being interviewed County
Great-West G R O U P. Short Term Disability Income Benefits Employee s Statement
Great-West G R O U P Short Term Disability Income Benefits Employee s Statement Employee s Statement Short Term Disability Income Benefits This guide contains the forms you need to apply for disability
Our Vision To be the Western Colorado and Eastern Utah laboratory services provider of choice.
Community Hospital provides laboratory services focused on patient-guest care. We are committed to providing accurate, timely, cost-effective, laboratory testing for your patients. Our knowledge and expertise
BlueSelect Silver ValueTwo for Individuals
BlueSelect Silver ValueTwo for Individuals Coverage Period: 1/1/2015-12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Single Plan Type: PPO This is only